Biomedical Engineering and Bioengineering Commons^™

Biomechanics Of Osteogenesis Imperfecta: Current Concepts And Emerging Horizons, Carolyne Albert, Jessica M. Fritz, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Osteogenesis inperfecta (OI) is associated with bone fragility. Long bone fractures are a common occurrence in individuals with OI. Although there have been significant advances in understanding the genetic defects associated with OI, the mechanisms behind bone fragility in this patient population are not yet well understood. This fragility is believed to stem in part from characteristic bone mass deficiencies. Research further suggests that the material properties of the bone are also compromised in individuals with this disorder. There is currently on quantitative method available to assess bone fracture risk in individuals with OI. This chapter examines several critical elements …

Nih Visible Human Project Humerus Numerical And Physical Models: Characterization For Osteogenesis Imperfecta Fracture Study, Prateek Grover, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Role Of Micro-Ct In The Visualization, Measurement, And Quantification Of Bone Structure In Osteogenesis Imperfecta, Robert C. Molthen, John Jameson, Carolyne Albert, Peter Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Lessons Learned From A 10-Year Collaboration Between Engineering And Industrial Design Students In Capstone Design Projects, Jay R. Goldberg, Pascal Malassigné

Biomedical Engineering Faculty Research and Publications

Engineers and industrial designers have different approaches to problem solving. Both place heavy emphasis on identification of customer needs, manufacturing methods, and prototyping. Industrial designers focus on aesthetics, ergonomics, ease of use, and the user’s experience. They tend to be more visual and more concerned with the interaction between users and products. Engineers focus on functionality, performance requirements, analytical modeling, and design verification and validation. They tend to be more analytical and more concerned with the design of internal components and product performance. Engineers and industrial designers often work together on project teams in industry. Collaboration between the two groups …

Comparing Offline Decoding Performance In Physiologically Defined Neuronal Classes, Matthew D. Best, Kazutaka Takahashi, Aaron J. Suminski, Christian Ethier, Lee E. Miller, Nicholas G. Hatsopoulos

Biomedical Engineering Faculty Research and Publications

Objective: Recently, several studies have documented the presence of a bimodal distribution of spike waveform widths in primary motor cortex. Although narrow and wide spiking neurons, corresponding to the two modes of the distribution, exhibit different response properties, it remains unknown if these differences give rise to differential decoding performance between these two classes of cells. Approach: We used a Gaussian mixture model to classify neurons into narrow and wide physiological classes. Using similar-size, random samples of neurons from these two physiological classes, we trained offline decoding models to predict a variety of movement features. We compared offline …

Upper Extremity Inverse Dynamics Model For Loftstrand Crutch-Assisted Gait In Children With Osteogenesis Imperfecta, Brooke A. Slavens, Neha Bhagchandani, Mei Wang, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Fluoroscopic System For Assessment Of In Vivo Hindfoot Kinematics During Gait: Control Data And Applications In Osteogenesis Imperfecta, Ben Mchenry, Jason Long, Peter Smith, Haluk Altiok, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Severity Of Spinal Cord Injury Influences Diffusion Tensor Imaging Of The Brain, Michael B. Jirjis, Aditya Vedantam, Matthew D. Budde, Benjamin Kalinosky, Shekar N. Kurpad

Biomedical Engineering Faculty Research and Publications

Background: The purpose of this study was to determine whether DTI changes in the brain induced by a thoracic spinal cord injury are sensitive to varying severity of spinal contusion in rats.

Methods: A control, mild, moderate, or severe contusion injury was administered over the eighth thoracic vertebral level in 32 Sprague-Dawley rats. At 11 weeks postinjury, ex vivo DTI of the brain was performed on a 9.4T Bruker scanner using a pulsed gradient spin-echo sequence.

Results: Mean water diffusion in the internal capsule regions of the brain and pyramid locations of the brainstem were correlated with motor function (r …

Automated Selection Of The Optimal Cardiac Phase For Single-Beat Coronary Ct Angiography Reconstruction, Daniel Stassi, S. Dutta, H. Ma, A. Soderman, D. Pazzani, E. Gros, D. Okerlund, Taly Gilat-Schmidt

Biomedical Engineering Faculty Research and Publications

Purpose: Reconstructing a low-motion cardiac phase is expected to improve coronary artery visualization in coronary computed tomography angiography (CCTA) exams. This study developed an automated algorithm for selecting the optimal cardiac phase for CCTA reconstruction. The algorithm uses prospectively gated, single-beat, multiphase data made possible by wide cone-beam imaging. The proposed algorithm differs from previous approaches because the optimal phase is identified based on vessel image quality (IQ) directly, compared to previous approaches that included motion estimation and interphase processing. Because there is no processing of interphase information, the algorithm can be applied to any sampling of image phases, …

Material And Structural Aspects Of Bone In Osteogenesis Imperfecta, Carolyne Albert, John Jameson, Peter Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Bone fragility is a fundamental problem in individuals with osteogenesis imperfecta (OI). The mechanisms behind this fragility, however, are not yet well understood. Multiple factors appear to contribute to the increased fracture risk in OI. At the structural level, bone mass deficiency can result in increased stress levels within bones. The underlying mineral and collagen abnormalities that define OI are also believed to result in compromised material-level properties. The variability of collagen biochemical irregularities causing OI and the corresponding heterogeneity of disease severity result in abnormalities that are not easily generalized within the OI population.

The aims of this chapter …

Motion Analysis Strategy Appropriate For 3d Kinematic Assessment Of Children And Adults With Osteogenesis Imperfecta, Jeffrey D. Kertis, Jessica M. Fritz, Sergey Tarima, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Human motion analysis provides a quantitative means of assessing whole body and segmental motion of subjects with musculoskeletal pathologies. This chapter describes a low cost motion analysis appropriate for complete three-dimensional (3D) assessment of upper and lower extremity kinematics. The system has been designed to support lower cost outreach efforts that require accuracy and resolution on the order of classical fixed lot systems such as Vicon. The focus of this work addresses the assessment needs typically seen in adults and children with osteogenesis imperfect (OI) experiencing ambulatory and upper extremity challenges.

Quantitative Assessment Of Children With Osteogenesis Imperfecta, Adam Graf, Joseph Krzak, Angela Caudill, Ann Flanagan, Peter Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Assessments of children with Osteogenesis Imperfecta (OI) are typically limited to a physical exam and observations from a clinician during a hospital visit. Often quantitative information such as bone mineral density and outcome questionnaires is obtained, but with the increasing prevalence of motion analysis and other performance type laboratories, there are many other tools available, which could be beneficial to this patient population. These laboratories can provide date supplementary to morphologic and radiographic data that is helpful in tracking changes in the patient’s functional abilities, recover from fracture, and treatment outcomes. This chapter will cover some useful evaluation methods for …

Walker Design For Kinetic Assessment Of Upper Extremity Joint Demands In Children With Osteogenesis Imperfecta, Katherine A. Konop, Kelly M.B. Strifling, Mei Wang, Jeffrey P. Schwab, Jeffrey D. Ackman, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Assessing The Spatial Relationship Between Fixation And Foveal Specializations, Melissa A. Wilk, Adam M. Dubis, Robert F. Cooper, Phyllis Summerfelt, Alfredo Dubra, Joseph Carroll

Biomedical Engineering Faculty Research and Publications

Increased cone photoreceptor density, an avascular zone (FAZ), and the displacement of inner retinal neurons to form a pit are distinct features of the human fovea. As the fovea provides the majority of our vision, appreciating how these anatomical specializations are related is important for understanding foveal development, normal visual function, and retinal disease. Here we evaluated the relationship between these specializations and their location relative to the preferred retinal locus of fixation (PRL). We measured foveal pit volume, FAZ area, peak cone density, and location of the PRL in 22 subjects with normal vision using optical coherence tomography and …

Motor Output Variability Impairs Driving Ability In Older Adults, Neha Lodha, Hwasil Moon, Changki Kim, Tanya Onushko, Evangelos A. Christou

Biomedical Engineering Faculty Research and Publications

Background: The functional declines with aging relate to deficits in motor control and strength. In this study, we determine whether older adults exhibit impaired driving as a consequence of declines in motor control or strength.

Methods: Young and older adults performed the following tasks: (i) maximum voluntary contractions of ankle dorsiflexion and plantarflexion; (ii) sinusoidal tracking with isolated ankle dorsiflexion; and (iii) a reactive driving task that required responding to unexpected brake lights of the car ahead. We quantified motor control with ankle force variability, gas position variability, and brake force variability. We quantified reactive driving performance with a combination …

Smartphone Microendoscopy For High Resolution Fluorescence Imaging, Xiangqian Hong, Vivek K. Nagarajan, Dale H. Mugler, Bing Yu

Biomedical Engineering Faculty Research and Publications

High resolution optical endoscopes arc increasingly used in diagnosis of various medical conditions of internal organs, such as the cervix and gastrointestinal (GI) tracts, but they are too expensive for use in resource-poor settings. On the other hand, smartphones with high resolution cameras and Internet access have become more affordable, enabling them to diffuse into most rural areas and developing countries in the past decade. In this paper, we describe a smartphone microendoscope that can take fluorescence images with a spatial resolution of 3.1 μm. Images collected from ex vivo, in vitro and in vivo samples using the device …

Effect Of Tendon Vibration On Hemiparetic Arm Stability In Unstable Workspaces, Megan O. Conrad, Bani Gadhoke, Robert A. Scheidt, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Sensory stimulation of wrist musculature can enhance stability in the proximal arm and may be a useful therapy aimed at improving arm control post-stroke. Specifically, our prior research indicates tendon vibration can enhance stability during point-to-point arm movements and in tracking tasks. The goal of the present study was to investigate the influence of forearm tendon vibration on endpoint stability, measured at the hand, immediately following forward arm movements in an unstable environment. Both proximal and distal workspaces were tested. Ten hemiparetic stroke subjects and 5 healthy controls made forward arm movements while grasping the handle of a two-joint robotic …

Increased Lower Limb Spasticity But Not Strength Or Function Following A Single-Dose Serotonin Reuptake Inhibitor In Chronic Stroke, Krishnaj Gourab, Brian D. Schmit, T. George Hornby

Biomedical Engineering Faculty Research and Publications

Objective: To investigate the effects of single doses of a selective serotonin reuptake inhibitor (SSRI) on lower limb voluntary and reflex function in individuals with chronic stroke.

Design: Double-blind, randomized, placebo-controlled crossover trial.

Setting: Outpatient research setting.

Participants: Individuals (N=10; 7 men; mean age ± SD, 57±10y) with poststroke hemiplegia of >1 year duration who completed all assessments.

Interventions: Patients were assessed before and 5 hours after single-dose, overencapsulated 10-mg doses of escitalopram (SSRI) or placebo, with 1 week between conditions.

Main Outcome Measures: Primary assessments included maximal ankle and knee isometric strength, and velocity-dependent (30°/s–120°/s) plantarflexor stretch reflexes under …

Retinal Architecture In ​Rgs9- And ​R9ap-Associated Retinal Dysfunction (Bradyopsia), Rupert W. Strauss, Adam M. Dubis, Robert F. Cooper, Rola Ba-Abbad, Anthony T. Moore, Andrew R. Webster, Alfredo Dubra, Joseph Carroll, Michel Michaelides

Biomedical Engineering Faculty Research and Publications

Purpose

To characterize photoreceptor structure and mosaic integrity in subjects with RGS9- and R9AP-associated retinal dysfunction (bradyopsia) and compare to previous observations in other cone dysfunction disorders such as oligocone trichromacy.

Design

Observational case series.

Methods

setting: Moorfields Eye Hospital (United Kingdom) and Medical College Wisconsin (USA). study population: Six eyes of 3 subjects with disease-causing variants in RGS9 or R9AP. main outcome measures: Detailed retinal imaging using spectral-domain optical coherence tomography and confocal adaptive-optics scanning light ophthalmoscopy.

Results

Cone density at 100 μm from foveal center ranged from 123 132 cones/mm²to 140 013 cones/mm^{2 …}

Detection Of Acute Nervous System Injury With Advanced Diffusion-Weighted Mri: A Simulation And Sensitivity Analysis, Nathan P. Skinner, Shekar N. Kurpad, Brian D. Schmit, Matthew D. Budde

Biomedical Engineering Faculty Research and Publications

Diffusion-weighted imaging (DWI) is a powerful tool to investigate the microscopic structure of the central nervous system (CNS). Diffusion tensor imaging (DTI), a common model of the DWI signal, has a demonstrated sensitivity to detect microscopic changes as a result of injury or disease. However, DTI and other similar models have inherent limitations that reduce their specificity for certain pathological features, particularly in tissues with complex fiber arrangements. Methods such as double pulsed field gradient (dPFG) and q-vector magic angle spinning (qMAS) have been proposed to specifically probe the underlying microscopic anisotropy without interference from the macroscopic tissue organization. …

Computational Replication Of The Patient-Specific Stenting Procedure For Coronary Artery Bifurcations: From Oct And Ct Imaging To Structural And Hemodynamics Analyses, Claudio Chiastra, Wei Wu, Benjamin Dickerhoff, Ali Aleiou, Gabriele Dubini, Hiromasa Otake, Francesco Migliavacca, John F. Ladisa Jr.

Biomedical Engineering Faculty Research and Publications

The optimal stenting technique for coronary artery bifurcations is still debated. With additional advances computational simulations can soon be used to compare stent designs or strategies based on verified structural and hemodynamics results in order to identify the optimal solution for each individual’s anatomy. In this study, patient-specific simulations of stent deployment were performed for 2 cases to replicate the complete procedure conducted by interventional cardiologists. Subsequent computational fluid dynamics (CFD) analyses were conducted to quantify hemodynamic quantities linked to restenosis.

Patient-specific pre-operative models of coronary bifurcations were reconstructed from CT angiography and optical coherence tomography (OCT). Plaque location and …

Effect Of Imperceptible Vibratory Noise Applied To Wrist Skin On Fingertip Touch Evoked Potentials – An Eeg Study, Na Jin Seo, Kishor Lakshminarayanan, Leonardo Bonilha, Abigail W. Lauer, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Random vibration applied to skin can change the sense of touch. Specifically, low amplitude white-noise vibration can improve fingertip touch perception. In fact, fingertip touch sensation can improve even when imperceptible random vibration is applied to other remote upper extremity areas such as wrist, dorsum of the hand, or forearm. As such, vibration can be used to manipulate sensory feedback and improve dexterity, particularly during neurological rehabilitation. Nonetheless, the neurological bases for remote vibration enhanced sensory feedback are yet poorly understood. This study examined how imperceptible random vibration applied to the wrist changes cortical activity for fingertip sensation. We measured …

Mechanical Characterization Of Carbon Fiber And Thermoplastic Ankle Foot Orthoses, Amanda Wach

Master's Theses (2009 -)

The needs of an increasingly young and active orthotic patient population has led to advancements in ankle foot orthosis (AFO) design and materials to enable higher function. The Intrepid Dynamic Exoskeletal Orthosis (IDEO) is a custom energy-storing carbon fiber AFO that has demonstrated improved clinical function, allowing patients to return to high-intensity activities such as sports and military service. An improved understanding of AFO mechanical function will aid prescription and fitting, as well as assist in design modifications for different patient populations. This study investigated the mechanical properties of AFOs, specifically structural stiffness, rotational motion, and strut deflection, to discern …

Integrating Meal And Exercise Into Personalized Glucoregulation Models: Metabolic Dynamics And Diabetic Athletes, Sofie Schunk

Master's Theses (2009 -)

Diabetes affects nearly 26 million Americans, according to the American Diabetes Association, with as many as three million Americans who have Type 1 Diabetes (ADA, 2015). Type 1 Diabetes (T1D) is autoimmune and characterized by little to no insulin production whereas Type 2 Diabetes (T2D) concerns insulin resistance and inability to use produced insulin. Factors contributing to current diabetes management and regulation include exercise type, daily movement activities, and distinct tissue compartment metabolism, each challenging to model in a robust and comprehensive manner. Past models are highly limited in regard to exercise and varying glucose fluctuations dependent on type, intensity, …

Computational Approaches For Remote Monitoring Of Symptoms And Activities, Ferdaus Kawsar

Dissertations (1934 -)

We now have a unique phenomenon where significant computational power, storage, connectivity, and built-in sensors are carried by many people willingly as part of their life style; two billion people now use smart phones. Unique and innovative solutions using smart phones are motivated by rising health care cost in both the developed and developing worlds. In this work, development of a methodology for building a remote symptom monitoring system for rural people in developing countries has been explored. Design, development, deployment, and evaluation of e-ESAS is described. The system’s performance was studied by analyzing feedback from users. A smart phone …

Biomechanical Characerization And Evaluation Of Conservative Clubfoot Correction, Tamara Loren Cohen

Dissertations (1934 -)

Congential talipes equinovarus, or clubfoot, affects approximately 200,000 newborns worldwide each year and presents with equinovarus of the hindfoot, as well as cavus and adduction of the midfoot. In addition to bone malformation and displacement, soft tissue contractures encapsulate the medial and posterior aspects of the affected foot. The Ponseti method is a conservative treatment that progressively repositions the clubfoot through weekly casting, followed by bracing. Concerns exist regarding the variability in outcomes, resistance to treatment, and risk of relapse, which occur in approximately 10% of the population. Potential factors contributing to variability and resistant clubfoot include cast material performance, …

Lpcoms: Towards A Low Power Wireless Smart-Shoe System For Gait Analysis In People With Disabilities, Ishmat Zerin

Master's Theses (2009 -)

Gait analysis using smart sensor technology is an important medical diagnostic process and has many applications in rehabilitation, therapy and exercise training. In this thesis, we present a low power wireless smart-shoe system (LPcomS) to analyze different functional postures and characteristics of gait while walking. We have designed and implemented a smart-shoe with a Bluetooth communication module to unobtrusively collect data using smartphone in any environment. With the design of a shoe insole equipped with four pressure sensors, the foot pressure is been collected, and those data are used to obtain accurate gait pattern of a patient. With our proposed …

Hockey Skating Kinematics And The Effect Of Skate Design And Technique Training, Rebecca Mae Tidman

Master's Theses (2009 -)

The purpose of this study was to investigate the effects of technique training and hockey skate design on hockey skating performance. Fourteen male subjects, aged 12-16 years, with no recent skate treadmill experience completed ten training sessions on a skating treadmill. Instruction emphasized maximizing stride width by pushing laterally with the skate pointed anteriorly. Subjects were randomly placed into one of two experimental groups based on initial skate type: traditional or Easton Mako. After completion of five sessions, skate type was switched so that skate design effects could be assessed. In contrast to a traditional hockey skate design, the Easton …

Alagebrium Inhibits Neointimal Hyperplasia And Restores Distributions Of Wall Shear Stress By Reducing Downstream Vascular Resistance In Obese And Diabetic Rats, Hongfeng Wang, Dorothee Weihrauch, Judy R. Kersten, Jeffrey M. Toth, Anthony G. Passerini, Anita Rajamani, Sonja Schrepfer, John F. Ladisa Jr.

Biomedical Engineering Faculty Research and Publications

Mechanisms of restenosis in type 2 diabetes mellitus (T2DM) are incompletely elucidated, but advanced glycation end-products (AGEs)-induced vascular remodeling likely contributes. We tested the hypothesis that AGEs-related collagen cross-linking (ARCC) leads to increased downstream vascular resistance (DVR), and altered in-stent hemodynamics, thereby promoting neointimal hyperplasia (NH) in T2DM. We proposed that decreasing ARCC with ALT-711 (Alagebrium) would mitigate this response. Abdominal aortic stents were implanted in Zucker lean (ZL), obese (ZO), and diabetic (ZD) rats. Blood flow, vessel diameter, and wall shear stress (WSS) were calculated after 21 days, and NH was quantified. Arterial segments (aorta, carotid, iliac, femoral, arterioles) …

Fellow Eye Changes In Patients With Nonischemic Central Retinal Vein Occlusion: Assessment Of Perfused Foveal Microvascular Density And Identification Of Nonperfused Capillaries, Alexander Pinhas, Michael Dubow, Nishit Shah, Eric Cheang, Chun L. Liu, Moataz Razeen, Alexander Gan, Rishard Weitz, Yusufu N. Sulai, Toco Y.P. Chui, Alfredo Dubra, Richard B. Rosen

Biomedical Engineering Faculty Research and Publications

Purpose: Eyes fellow to nonischemic central retinal vein occlusion (CRVO) were examined for abnormalities, which might explain their increased risk for future occlusion, using adaptive optics scanning light ophthalmoscope fluorescein angiography.

Methods: Adaptive optics scanning light ophthalmoscope fluorescein angiography foveal microvascular densities were calculated. Nonperfused capillaries adjacent to the foveal avascular zone were identified. Spectral domain optical coherence tomography, ultrawide field fluorescein angiographies, and microperimetry were also performed.

Results: Ten fellow eyes of nine nonischemic CRVO and 1 nonischemic hemi-CRVO subjects and four affected eyes of three nonischemic CRVO and one nonischemic hemi-CRVO subjects were imaged. Ninety percent of fellow …